91 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... cause of vertigo ... Video by Dr. ... #Positive #Neurology ... #Central #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... Animation by Dr ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... cause of vertigo ... Video by Dr. ... #Neurology #Vertigo ... #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... cause of vertigo ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... with vascular causes ... • Nystagmus: ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... uncover each eye Dr ... Vertigo #diagnosis #neurology ... bppv #comparison #table
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a peripheral cause ... cause of AVS. ... with an AVS with nystagmus ... #PhysicalExam #Neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous ... Clinical Findings: • Nausea ... vomiting/vertigo/nystagmus ... Palatal myoclonus - Central ... #Wallenbergs #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... hemorrhage Dr ... physicalexam #clinical #video ... #neurology #ophthalmology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Video by Dr. ... Unidirectional #Nystagmus ... #Negative #Neurology